Provider Demographics
NPI:1124341086
Name:FRENCHER, STANLEY KEITH JR (MD MPH)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:KEITH
Last Name:FRENCHER
Suffix:JR
Gender:M
Credentials:MD MPH
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Mailing Address - Street 1:924 WESTWOOD BLVD
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-2910
Mailing Address - Country:US
Mailing Address - Phone:310-794-8492
Mailing Address - Fax:310-794-2538
Practice Address - Street 1:1670 E 120TH ST
Practice Address - Street 2:MODULE 3A, UROLOGY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90059-3026
Practice Address - Country:US
Practice Address - Phone:424-338-1559
Practice Address - Fax:310-223-0977
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2015-01-04
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Provider Licenses
StateLicense IDTaxonomies
CAA 109025208600000X, 390200000X
CAA109025208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program